London's Pulse: Medical Officer of Health reports 1848-1972

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Carshalton 1905

[Report of the Medical Officer of Health for Carshalton]

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Scarlet Fever.—Two cases were notified at the Cottage Hospital in March and September respectively,
and 8 cases were notified in 6 private houses, viz., 3 cases in one house in January, and single
cases in February, March, July, September, and December. Three of the patients were removed to the
Cuddington Isolation Hospital, and the two patients at the Cottage Hospital, both of whom came from
Beddington, and one patient from Beddington Corner, close to the Croydon Rural District Council's
Hospitatal, were removed to that Institution, which is situated in Carshalton.
Diphtheria.—Five single cases were notified, in March, May, June, August, and September. Two
patients were removed to Cuddington Hospital, where one of them died, and one patient at Beddington
Corner was removed to the Rural Council's Hospital.
Enteric Fever.—Two cases were notified, in June and September. One patient was removed to
Cuddington Hospital.
Diarrhœa caused the death of an infant, aged 3 months. Another infant died of the same disease
in the Home for Friendless Girls. The death of a boy, aged 8 years, was ascribed to Gastro-ententis.
Measles was very prevalent in the spring, and caused two deaths of young children in June. The
various Elementary Schools were closed for a short period in May and June, as a precautionary measure.
Whooping Cough caused no death.
Four cases of Erysipelas, none of which proved fatal, were notified.
No case of Puerperal Fever was reported.
Tubercular Diseases.—The deaths from Pulmonary Tuberculosis (Phthisis or Consumption) were four
in number, and were at the rate of 0.52 per thousand, which is below the average rate for the preceding
ten years. One death was caused by Tubercular Meningitis. No application was made during the year
for the examination of any specimen from patients suspected to be suffering from Phthisis. Fumigation
of rooms was done by the Inspector in five houses at which deaths from Phthisis had occurred.
Bacteriological Examinations.—Two specimens were examined at the Lister Institute, at the
expense of the Council, for the presence of the Bacillus Diphtherias, with one positive and one negative
result. No applications were made for the examination of specimens for the Widal (Typhoid) reaction.

The Isolation Hospital .—The number of patients who were removed to the Joint Hospital for treatment, from each of the four districts for which it provides accommodation, is shewn in the following table:—

Scarlet Fever.Diphtheria.Enteric Fever.Total in 1905.Total in 1904.Total in 1903.Total in 1902.
Carshalton Urban3216141819
Epsom Rural32144504345132
Leatherhead Urban105-152555
Sutton Urban3512-47383429

III.—Summary of other Sanitary Proceedings, &c., which were taken
during the year.
1.—Inspections and Nuisances.—House to house inspections at Little Woodcote, Swan Yard, West
Street Lane, Palmerston Road, and Willow Cottages, were made by the Sanitary Inspector, who reported
at each meeting of the Sanitary Committee upon the nuisances that he had discovered, and continued to
report until each defect had been remedied. Among other inspections of cottages, I again made a
reinspection throughout Harold Road, and found that the whole of the works required by the Council
had been completed; the structural repair and cleansing of these cottages, the lowering and paving of
the yards, and the provision of an efficient system of surface-water drainage, have brought about a
marked improvement in the sanitary conditions in this road. A cottage in The Square, which had been
closed in the previous year, was drained and put into a good condition of repair, and a neighbouring
cottage was closed by the owner und repaired, under notice from the Council.
Three cases of overcrowding were discovered and abated upon the service of notices.
In compliance with the instructions of the Council, the Inspector visited all the stables in the
district, and served notices to enforce the requirements of the Bye-laws relating to the keeping of
animals, in all cases in which he discovered nuisances. The piggeries were also visited, and a copy of
the Circular upon Pigkeeping, issued by the Board of Agriculture, was delivered to each pigkeeper.